Ten-year follow-up study of elderly with dementia in the community

社区痴呆老人十年追踪研究

• 批准号: 13672451
• 负责人: BESSHO Yuko
• 金额: $ 1.47万
• 依托单位: Fukui Medical University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2001
• 资助国家: 日本
• 起止时间: 2001 至 2002
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13672451/
• 关键词: elderly; dementia; mortality; cause of death; place of death; community health nursing; cohort study; ADL; 死亡の場所; 在宅

Objectives : To investigate the mortality, cause of death and the place of death among the elderly with dementia in 10 years after the baseline study. Also, to study the factors that enabled the elderly with dementia been cared at home by family caregivers for 10 years.Subjects : The elderly who were diagnosed dementia in the baseline study for the whole elderly population in 1992, in K city, Japan(n=201).Methods : The date, cause and the place of death were confirmed with the Vital Statistics Record, with the permission of the Ministry concerned. The survivors were interviewed to study ADL, caregivers' status.Results : Among 201 subjects, 170 died, 3 moved out of the city and 28 survived. The number of death was 1.42 times higher compared to those expected for the population of the same age in K city. The average survival time was 4.32 years with Kaplan-Meier survival analysis. Age class, gender, being bed-ridden and impaired walking were significant factors for death by Cox proportional hazard model. CVD was the dominant cause of death among the demented elderly. Among 22 survivors interviewed, the declination of the ADLs of those stayed at home in 2 years was lower than those institutionalized.The factors enabled to continue to be cared at home for 10 years were, ADLs and the level of bed-ridden, the caregiver's feeling affinity to the subject, and their will to care.Conclusion : The mortality of the elderly with dementia was higher compared to the elderly population. To prevent CVD will be effective not only for the primary prevention for dementia but also for the prevention of early death of demented elderly. To keep being free from bed-ridden, and to maintain gait ability are important for demented elderly to live long and high quality life.

目的：调查基线研究后10年内老年期痴呆患者的死亡率、死因和死亡地点。同时，为探讨老年痴呆患者在家中由家庭照顾者照顾10年的相关因素。研究对象：日本K市1992年全人群基线调查中确诊为痴呆的老年人(n=201)。结果：201例患者中，170例死亡，3例迁出城市，28例存活。死亡人数是K市同龄人口预期死亡人数的1.42倍。经Kaplan-Meier生存分析，平均生存时间为4.32年。COX比例风险模型显示，年龄、性别、卧床和行走障碍是影响死亡的重要因素。心血管疾病是痴呆症老年人的主要死亡原因。在22名受访的幸存者中，居家2年的ADL下降幅度低于住院老人，ADLS和卧床水平、照顾者对被照顾者的情感亲和力、照顾者的护理意愿等因素使其能够在家中继续得到10年的护理。预防脑血管病不仅对痴呆的一级预防有效，而且对防止老年痴呆的早期死亡也是有效的。摆脱卧床不起，保持步态能力是痴呆症老年人长寿高质量生活的重要因素。

项目成果

Bessho Y. et al.: "Eight-year follow-up study on the elderly with dementia in the community"Nihon Koshueisei Zassi. 49(10). 766 (2002)

Bessho Y.等人：“社区痴呆症老年人的八年跟踪研究”Nihon Koshueiisei Zassi。

別所遊子, 他: "在宅痴呆症高齢者の8年間の死亡割合・死因および生活場所の変化"日本公衆衛生雑誌. 49・10. 766 (2002)

Yuko Bessho 等人：“居住在家里的痴呆症老年人的死亡率、死因和居住地点的变化超过 8 年”《日本公共卫生杂志》49・10（2002 年）。

別所遊子, 他: "在宅痴呆症高齢者の8年間の死亡割合・死因および生活場所の変化"日本公衆衛生雑誌. 49(10). 766 (2002)

Yuko Bessho 等人：“在家中患有痴呆症的老年人的死亡率、死因和居住地点的变化超过 8 年”，《日本公共卫生杂志》49（10）766（2002 年）。